MAVIS N MATSUMOTO, MD, LLC

HENDERSON, NV
NPI1902174741
Entity TypeOrganization
Authorized ContactMAVIS MATSUMOTO
Owner
702-992-4050
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2011-12-08
Last Update Date2013-04-15
Business Address
MAVIS N MATSUMOTO, MD, LLC
2780 W HORIZON RIDGE PKWY SUITE 30
HENDERSON, NV 89052-3995
Phone number: 702-992-4050
Mailing Address
MAVIS N MATSUMOTO, MD, LLC
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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